Mohamednoor A Osman, MD | |
1800 N California St, Stockton, CA 95204-6019 | |
(916) 714-4245 | |
(916) 714-4245 |
Full Name | Mohamednoor A Osman |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 1800 N California St, Stockton, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1972517175 | NPI | - | NPPES |
00A854720 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | A85472 (California) | Primary |
Entity Name | Vallejo Emergency Physicians Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1083916373 PECOS PAC ID: 2961683693 Enrollment ID: O20110228000897 |
Mailing Address | Practice Location Address |
---|---|
Mohamednoor A Osman, MD 5904 Isaac Way, Elk Grove, CA 95757-5954 Ph: (916) 714-4245 | Mohamednoor A Osman, MD 1800 N California St, Stockton, CA 95204-6019 Ph: (916) 714-4245 |
Ellison H Cordray, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1800 No California Street, Stockton, CA 95204 Phone: 209-473-6555 Fax: 209-473-6544 | |
Dr. Louis John Marquet Iii, D.O. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1800 N California St, Stockton, CA 95204 Phone: 209-943-2000 | |
Michael A Herrera, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1800 No California Street, Stockton, CA 95204 Phone: 209-473-6555 Fax: 209-473-6544 | |
Mr. Gilbert E Greene, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1307 N Commerce St, Stockton, CA 95202 Phone: 209-464-7757 Fax: 209-464-7761 | |
Justin Ririe Leach, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1800 N California St, Stockton, CA 95204 Phone: 209-547-7146 Fax: 209-547-7197 | |
Dr. Jose Ramon Torradas, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1800 N California St, Emergency Medicine Department, Stockton, CA 95204 Phone: 209-467-6444 | |
Gary Scott Olds, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1800 N California St, Stockton, CA 95204 Phone: 209-943-2000 |